Ohio Licensed Utilization Review Nurse
ProMedica Health Systems, Inc.
To maximize the quality and cost-efficiency of healthcare services, the part‑time Ohio Licensed Utilization Review Nurse will conduct reviews for admissions and transfers, collaborate with healthcare teams, and identify opportunities for improved service utilization while working remotely. Key responsibilities Complete reviews for admissions and transfers to obtain necessary authorizations Collaborate with physicians, nurses, and other healthcare team members to allocate resources effectively Review cases to identify opportunities for enhancing hospital service utilization Required qualifications Graduate of an approved NLN accredited School of Nursing Minimum of 3 years of acute care nursing experience Current RN license in the state of hire Knowledge of insurance guidelines and relevant regulations Experience with utilization review in a hospital acute care setting #J-18808-Ljbffr ProMedica Health Systems, Inc.
$26.76 - $33.52 per hour
Overview Job Description - Behavioral Health Licensed Practical Nurse | Hospital Northfield, Ohio | Full Time Organization Agency Contact Name and Information : Bernadette Dudley (***) ***-**** Ext. 2335 Unposting Date Unposting Date: Ongoing Work Location Northcoast...SuggestedHourly payFull timeWork experience placementWork at office- ...Utilization Review Nurse VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position... ...like to speak to those who have a current unrestricted NYS RN license to practice professional nursing, URAC preferred. Seeking...SuggestedFull timeWork from home
$35 - $43 per hour
...5.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California... ...reside in CA or hold an active CA RN license) Duration: 12 months (with potential to... ...Nurse – Concurrent Review will perform utilization management functions to ensure members...SuggestedRemote work$85k - $105.34k
...Utilization Review Nurse Remote; Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. Employment... ...as assigned Minimum Qualifications Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state Graduation from...SuggestedFull timeWork at officeLocal areaImmediate startRemote workMonday to Friday$18k
...the communities we serve. Our doctors, nurses, and allied health professionals are a... ...criteria-based concurrent and retrospective utilization review to support and encourage the efficient... ...of 1 year experience RN: AZ or Compact License Ability to pass annual Inter-rater...SuggestedFull timePart timeLive out$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment... ...with hospital staff. Candidates must have a current RN license and at least 1 year of clinical experience. Competitive hourly...Hourly payPart timeRemote work- ...Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing... ...in quality initiatives. Candidates must have a Compact RN License and at least 3 years of clinical nursing experience. #J-188...Remote work
$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior... ...with regulations. The ideal candidate will have an RN license, 5 years of experience, and skills in clinical assessments...Remote work- Currently seeking a Utilization Management RN . Please see details and qualifications below... ...own equipment Must have an active PA license or a Nurse Licensure Compact to include PA. **... ...’ll use advanced clinical judgment to review medical records, validate care plans,...Immediate startRemote workWeekend workDay shift
$65 per hour
Job Title: Registered Nurse (RN) - Case Management Location: New... ..., and ensure appropriate utilization of healthcare services while... ...planning. Conduct utilization review to ensure appropriate level of... ...State Registered Nurse (RN) License AHA BLS (Basic Life Support)...Hourly payWeekly payLocal areaShift work$35 - $45 per hour
...the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and... ..., or recent home health field experience. Current nursing license in good standing through the Arizona Board of Nursing (and...Contract workRemote workWeekend work- A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...to meet patient needs. Candidates must possess a nursing license and have experience in utilization review or home health. This...Remote jobContract work
- ...Jersey is seeking a Quality Management Nurse to oversee patient care quality. This role involves reviewing patient records for treatment... ...degree in Nursing, a New Jersey RN license, and experience in clinical nursing or utilization review. The position offers competitive...
- A healthcare solutions company is seeking a Utilization Management Nurse Reviewer to assess the appropriateness of medical services and collaborate with healthcare professionals. This role requires a Licensed Practical/Vocational Nurse with clinical experience and skills...
$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming to utilize their clinical expertise without direct patient care. The role involves...Remote work- NeueHealth is seeking a Concurrent Utilization Review Nurse responsible for conducting real-time clinical reviews to assess the necessity of healthcare... ...policies. The ideal candidate should have an active RN license, strong clinical experience, and expertise in utilization...
$34 - $40 per hour
.../hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services. In this role, you will coordinate and...Full timeRemote work- ...A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with...Remote work
- ...Tuesday Health is looking for a Registered Nurse to provide comprehensive, person-centered care. This remote role, based in Ohio, involves developing individualized care plans... ...teams. Candidates should possess a valid RN license in Ohio, strong communication skills, and be...Remote work
- Registered Nurse - Ohio Location: Remote (must be located in Ohio) Who We Are Tuesday Health... ...in internal and joint rounds. Utilizing Tuesday Health’s electronic systems and... ...Active and unrestricted Registered Nurse license in the State of Ohio without any board...Remote workNight shift
- An established industry player in healthcare is seeking a dedicated Utilization Review Nurse to join their team. This role involves conducting critical reviews to ensure efficient resource use and high-quality patient care. You will collaborate with clinical staff and...
- A community hospital in Arizona is seeking a Utilization Management Nurse to ensure healthcare efficiency and quality through diligent review of medical records and adept communication. You'll engage with multiple stakeholders to uphold clinical decision-making and regulatory...
- Registered Nurse - Labor & Delivery at Bestica, Ohio We are urgently hiring a Registered Nurse to join our Labor & Delivery team. Candidates must be able... ...certification if not already held Ohio or compact license (required upon submission) Recent travel experience required...Immediate startWeekend work
- Tuesday Health is seeking a Remote Registered Nurse to deliver comprehensive, person-centered care to individuals with serious illness... ...approach to care. Ideal candidates will have an active Ohio RN license, experience in a clinical setting, and excellent communication...Remote job
- Licensed Practical Nurse Job Summary We are seeking a compassionate and skilled Licensed Practical Nurse to join our team at Senior Suites at St.... ...Commons, a premier senior living community in Saint Clairsville, Ohio. As a Licensed Practical Nurse, you will play a vital role...
$25 - $32 per hour
Licensed Practical Nurse (LPN) - Weekend Warrior Job Category: Licensed Practical... ...Ensures that supplies are utilized economically and equipment is... ...Why Choose Arbors? One of Ohio’s largest providers of long-... ...further information, please review the Know Your Rights notice...Hourly payWeekly payDaily paidFull timeTemporary workLocal areaFlexible hoursShift workWeekend work- ...Hills, AL35243 Greenbrier Senior Living Licensed Practical Nurse (LPN) Hamlet at Chagrin Falls is a... ...assist with supervision, direction, and review of other associates' work and may... ...Practical Nurse (LPN) license in the State of Ohio required. Current CPR certification...Full timeImmediate startShift workNight shift
$28 - $30 per hour
Licensed Practical Nurse (LPN) - Assisted Living Join a compassionate team at Meadow Falls of Chagrin Valley Meadow Falls Assisted Living, a resort-style senior living community in Chagrin Falls, Ohio, is seeking a compassionate and dependable Licensed Practical Nurse...Hourly payNight shiftDay shiftAfternoon shift$22 - $30 per hour
## LPN / Licensed Practical NurseGratiot, Ohio**ID**j-26660**Job Type**Direct Hire**Remote Type**On-Site**Compensation**$22 - $30 / hr**Title: LPN / Licensed Practical Nurse****Location: Gratiot, Ohio**Our healthcare system is a not-for-profit organization with over 30...Hourly payRemote work$22.4 - $48.67 per hour
Position Summary As a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN), you will deliver... ...resources. Conduct medication reviews to identify potential side effects and... ...state and local laws. #J-18808-Ljbffr 2070 MinuteClinic Diagnostic of Ohio, LLCHourly payFull timeLocal area
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